I have had uterine ablation approximately 10 years ago, is hysterectomy recommended?

I have had uterine ablation approximately 10 years ago. I am 53 and premenopausal. Recently started having cramping and pain in what I thought was left ovary. They did find cystic lesion 3×8 x 3.3 x 5.1 cm in the left ovary but what concerns me is this: “Complex findings in the uterus with a large irregular region of fluid and soft tissue, which may arise from the endometrium. Differential considerations would include an endometrial malignancy. A large degenerating fibroid is an alternative consideration.” They are recommending a D&C with ultrasound guidance because of the scar tissue and history of severe endometriosis. Rt ovary was removed 4 years ago found to be endometrioma. I’m wondering why a hysterectomy wouldn’t be a better idea to just put an end to all of these issues?

Age: 53
Female
Medications: verapamil
Yes
General Information: lower abdominal cramping and bloating.

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Dr. Javez Ernesto
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Dr. Javez Ernesto

Hysterectomy is considered a major surgery and does involve risks. Different types and approaches can be used. Usually performed only after all other treatments options have been exhausted. In your case, the exact problem has not yet been determined Dilation and Curettage is a simple procedure that helps determine and diagnose the exact problem – (sometimes treat) and allows your doctor to choose the best treatment option. Hysterectomy may not be required. Should a hysterectomy be needed, the best type and approach can then be used.

Dr.Honey
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Dr.Honey

Hi. Thanks for the query.. In your case as there is a suspected malignancy or a degenerating fibroid, therefore first of all a Confirmatory diagnosis has to be made as every condition has a different clinical and surgical treatment approach.. You have been advised D&C procedure that is probably a Diagnostic D&C procedure that is helpful in confirmation of the exact nature of lesion that you have.. So you are appropriately advised as doing hysteractomy straight away without a proper diagnosis can have more of negative effects that can overweigh benefits.. So first of all you should get D&C done.… Read more »